Etowah Eye Clinic, P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

030829 Issued in GA

Legal business name

ETOWAH EYE CLINIC, P.C.

Practice address

125 Oakside CT
Suite 102
Canton, GA 30114-2498

Phone

(678) 880-0662

Fax

(678) 880-0675

NPI assigned

Apr 11, 2007

Last updated

Jan 15, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William Parker Marks Jr., M.D.NPI 1356337448

Title

Owner Physician

Phone

(678) 880-0662

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Parker Marks Jr., M.D.

  • Ophthalmology Physician
  • Canton, GA
  • NPI 1356337448
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1932322302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 OAKSIDE CT",
            "address_2": "SUITE 102",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142498",
            "telephone_number": "678-880-0662",
            "fax_number": "678-880-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 OAKSIDE CT",
            "address_2": "SUITE 102",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142498",
            "telephone_number": "678-880-0662",
            "fax_number": "678-880-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETOWAH EYE CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PARKER",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "678-880-0662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "030829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• ENT of Cherokee
• Candice Nacole Enzor, H.S.T
• Anita A Epps, LPC
• Parham Eshtehardi, M.D.
• Aldo Espinoza, M.D.
• Etowah Regional Medical Services PC (Medical Associates of North Georgia)
• Cassidy Meghan Evans Windsor, DAT, ATC
• Laura Lovinggood Evans, MSN, NP-C
• Mystical Evans, FNP-C
• Exos - Athletes Performance Arizona LLC

• Ophthalmology Physician in Canton, GA
• Providers in Canton, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.